Democrats fear exceptions to birth control coverage

Sunday

Nov 27, 2011 at 12:01 AMNov 27, 2011 at 1:00 AM

THE WASHINGTON POST

WASHINGTON — Democratic lawmakers, fearful that President Barack Obama is on the verge of significantly diluting a proposed regulation that would give millions of women access to birth control without out-of-pocket insurance charges, are furiously lobbying the White House to hold the line.

At issue is whether the provision, announced in August, should exempt a far broader range of religious organizations.

In a phone call with senior White House adviser David Plouffe on Tuesday afternoon, eight senators argued the consequences of expanding the exemption would be devastating, according to people familiar with the call. The discussion followed conference calls late last week between other top White House officials and members of the Congressional Pro-Choice Caucus.

“I think in the 21st century, most people are stunned to hear that we would even be talking about whether women can buy birth control through their insurance policies,” said Rep. Diana DeGette, D-Colo., a leader of the group, who participated in one of last week’s calls. “You would be denying millions of Americans the ability to have an essential part of their insurance coverage because of some attenuated religious affiliation of their employer.”

The contraceptive-coverage rule, proposed by Health and Human Services Secretary Kathleen Sebelius in August, expands on the details of a more general provision in the 2010 health care law that requires all new insurance plans to cover preventive services specified by Sebelius without co-pays, deductibles or other out-of-pocket costs. In including birth control on the list, Sebelius suggested exempting religious not-for-profit groups whose purpose is to inculcate religious values and that primarily employ and serve people who share those values.

That definition prompted an outcry from representatives of religious groups, including the U.S. Conference of Catholic Bishops. They argued the exception was so narrow virtually the only qualifying organizations would be churches. Left out would be religion-affiliated institutions such as Catholic hospitals, universities, schools, clinics and food banks.

“You are forcing a Catholic organization to pay for something that goes directly against its belief system,” said Sister Mary Ann Walsh, a spokeswoman for the bishops.

At a news conference in August announcing the proposed rule, Sebelius said because birth control is the most common drug prescribed to women ages 18 to 44, not including it “would be like not covering flu shots.”

Even as the bishops conference and other religious groups campaigned for a broader exemption, Planned Parenthood President Cecile Richards said it seemed “unthinkable” that the administration would incorporate those suggestions in the final rule, which will take effect beginning Aug. 1, as insurance plans renew.

It is unclear what new language the administration might be considering. One possibility is that any religiously affiliated not-for-profit could be exempt from the coverage mandate.